FIGO staging vulva

Question 1

Vulva stage I

Answer 1

Tumour confined to the vulva

Question 2

Vulva stage IA

Answer 2

Lesion less than or equal to 2cm in size

confined to the vulva or perineum

with stromal invasion less than or up to 1mm

negative nodes

Question 3

Vulva stage IB

Answer 3

Lesion over 2cm in size

confined to the vulva or perineum

with stromal invasion less than or up to 1mm

negative nodes

Question 4

Vulva stage II

Answer 4

Tumour any size

but extension to adjacent perineal structures
(1/3 lower vagina, 1/3 lower urethra, anus)

negative nodes

Question 5

Vulva stage III

Answer 5

Tumour any size

+/- extension to adjacent perineal structures
(1/3 lower vagina, 1/3 lower urethra, anus)

Positive nodes inguino-femoral lymph nodes

Question 6

Vulva stage IIIA

Answer 6

1. with one LNM equal to or more than 5mm

2. one to two LNM less than 5mm

Question 7

Vulva stage IIIB

Answer 7

1. 2+ LNM equal or greater than 5mm

2. 3+LNM less than 5mm

Question 8

Vulva stage IIIC

Answer 8

Positive nodes with extracapsular spread

Question 9

Vulva stage IV

Answer 9

Tumour invades other regional (2/3 upper urethra, 2/3 upper vagina) or distant structures

Question 10

Vulva stage IVA

Answer 10

Tumour invades any of:

1. upper urethra or vaginal mucosa, bladder mucosa, rectal mucosa or fixation to pelvic bone
2. Fixed or ulceration inguinofemoral LN

Question 11

Vulva stage IVB

Answer 11

Any distant mets including pelvic LN